AVERA HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: AVERA HEALTH (EIN 46-0422673)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201601379349302465
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T09:56:14-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	460422673	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AVERA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AVER	BusinessNameControlTxt
Phone	6053227300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 WEST AVERA DRIVE No 300	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57108	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jim Breckenridge	PersonNm
Person Title	Secretary/Treasurer	PersonTitleTxt
Phone	6053224700	PhoneNum
Signature	2016-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2016-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Porter	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 WEST AVERA DRIVE No 300	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57108	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$169,536,900	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.avera.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	SD	LegalDomicileStateCd
Activity Or Mission	Promotion of Health	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	940	TotalEmployeeCnt
Total Volunteers	42	TotalVolunteersCnt
Total Gross UBI	$656,640	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$129,714	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,015,201	PYContributionsGrantsAmt
CY Contributions Grants	$12,575,041	CYContributionsGrantsAmt
PY Program Service Revenue	$125,942,998	PYProgramServiceRevenueAmt
CY Program Service Revenue	$150,926,620	CYProgramServiceRevenueAmt
PY Investment Income	$572,957	PYInvestmentIncomeAmt
CY Investment Income	$5,456,718	CYInvestmentIncomeAmt
PY Other Revenue	$278,813	PYOtherRevenueAmt
CY Other Revenue	$425,855	CYOtherRevenueAmt
PY Total Revenue	$134,809,969	PYTotalRevenueAmt
CY Total Revenue	$169,384,234	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,241,116	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,116,664	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$74,107,652	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$83,328,437	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$42,106,832	PYOtherExpensesAmt
CY Other Expenses	$61,655,404	CYOtherExpensesAmt
PY Total Expenses	$119,455,600	PYTotalExpensesAmt
CY Total Expenses	$150,100,505	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,354,369	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,283,729	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,372,317,642	TotalAssetsBOYAmt
Total Assets EOY	$1,372,841,956	TotalAssetsEOYAmt
Total Liabilities BOY	$1,121,323,279	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,111,615,665	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$250,994,363	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$261,226,291	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Avera Health is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$130,106,402	ExpenseAmt
Grant	$5,116,664	GrantAmt
Revenue	$150,926,620	RevenueAmt
Desc	Avera Health delivers health care to individuals and communities through a system of nearly 330 affiliated health care facilities, which are referred to collectively as "Avera." Avera, the health ministry of the Benedictine and Presentation Sisters, serves the people of eastern South Dakota and surrounding states with a wide spectrum of health services delivered through hospitals, long-term care facilities, clinics and other health programs.Avera Health VisionWorking with its partners, Avera Health shall provide a quality, cost-effective health ministry, which reflects Gospel values. We shall improve the health care of the people we serve through a regionally integrated network of persons and institutions.Avera ValuesIn caring for life, the Avera community is guided by the Gospel values of compassion, hospitality and stewardship.Avera is sponsored by the Benedictine Sisters of Yankton, S.D., and the Presentation Sisters of Aberdeen, S.D. In accordance with its Catholic mission, Avera adheres to "The Ethical and Religious Directives for Catholic Health Care Services".Avera facilities return any revenues over expenses that they receive to the people in their communities in three ways:We provide care of those who cannot afford to pay. Avera affiliates provide free or discounted health and health-related services to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using income-related discounts. As the number of uninsured persons grows, so does the need for charity care, or free or discounted health services provided to those who cannot afford to pay.Charity Care/Patient Assistance at cost $21,163,580Charity care/financial assistance is free or discounted health and health-related services provided to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using an income-related schedule. The dollar amount provided for charity care is based on the actual cost of providing that service, not the amount that would have been charged for that service. Charity care does not include bad debt.Unpaid Costs of Government and Other Programs $31,142,539 Medicaid, State Children's Health Insurance Program (SCHIP), local and state government programs that reimburse health care providers for persons not eligible for Medicaid and other government programs provide health coverage for thousands of individuals in our region. However, they generally do not reimburse hospitals and doctors for the full costs of services. In many instances, payment is based on data from previous years that doesn't accurately reflect the rapidly changing nature of health services, such as new processes, new equipment, new technologies and rising costs for supplies. In accordance with "A Guide for Planning and Reporting Community Benefit" (St. Louis: Catholic Health Association of the United States, 2008), unpaid costs of Medicare are not included in this amount. Additional Community Benefits $39,038,946Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs. These programs and services are not provided for marketing purposes. A community benefit must meet at least one of the following criteria: improve access to health care services; enhance health of the community; advance medical or health care knowledge; or relieve or reduce the burden of government or other community efforts. Included in this category are community health improvement services, health professions education, subsidized health services, research activities, financial and in-kind contributions, community-building and leadership activities and community-benefit-operations activities.Total $91,345,065Avera operates under the premise that social and institutional wellness are best promoted through joint efforts of various religious and community-sponsored institutions. Choosing collaboration and empowerment enables us to be better stewards of our human, financial, technical and environmental resources.Our caregivers are supported by the resources and expertise of the region's largest health system. Management and other support services are provided through the Avera Central Office, and Avera's six regional centers: Avera St. Luke's in Aberdeen, SD; Avera Marshall Regional Medical Center in Marshall, MN.; Avera Queen of Peace in Mitchell, SD; Avera St. Mary's in Pierre, SD; Avera McKennan in Sioux Falls, SD; and Avera Sacred Heart in Yankton, SD. As a leading health system in the region, Avera is committed to meeting the needs of communities it serves through the provision of quality health care services guided by Christian values and by making a positive impact on the community. Avera Health acts as the leader of the Avera health ministry, serving as an overall parent to support its affiliated tax-exempt health care organizations. Through Avera Health, affiliates collaborate to improve the lives and health of individuals and of the communities we serve. This collaboration allows affiliates to access leading edge strategies and expertise while keeping administrative costs as low as possible.Avera Health serves health care facilities that are owned by Avera Health as well as facilities that are owned by local communities. Through Avera Health, affiliates are able to share costs of management, legal and other support services among many facilities rather than each facility incurring those costs separately. Avera Health provides a variety of services for the benefit of affiliates including coordinating the delivery of health care service to the region, overall strategic planning, group purchasing of supplies and services at lowest possible cost and education. Avera Health also coordinates joint investments and risk-management programs for affiliates.Some of the specific ways Avera Health has improved the communities we serve include during the year ended June 30, 2015 are:* Providing support services to nearly 330 affiliated health care facilities* Providing $4,520,703 (shown on Form 990, Part IX, line 1) in financial support for various projects in local communities* Sponsoring education programs including a gerontological care conference, nursing conference, ethics conference, parish nursing conference and more.Avera eCARE is a visionary care delivery model that provides rural health care professionals around-the-clock access to specialty care physicians, nurses and pharmacists. Using advanced communication technology, eCARE supports rural facilities in the provision of evidence-based, high-quality care and offsets workforce shortages in rural communities. eCARE is a natural extension of Avera's Health mission and its century-long commitment to its rural communities to "maintain access to quality care close to home." Avera eCARE works with some of the most underserved populations in the United States. This includes frontier populations, long term care residents, Native American Reservations, disabled veterans, and inmates. By bringing high quality, on demand access to specialty care, these unique populations are able to receive care within their home community and in a familiar, culturally appropriate setting. They are treated in coordination with the local practitioners that best understand their ongoing care needs.	Desc
Total Program Service Expenses	$130,106,402	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	292	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	940	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	VI	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jim Breckenridge	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6053224700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 W Avera Dr Ste 300	AddressLine1Txt
City	Sioux Falls	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57108	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Ken Karels
Chair	5.20	0.00	Yes (X)	Yes (X)	$0	$0	$0
Sister Mary Kay Panowicz
Vice Chair	5.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
Mark Buche
Director	5.00	0.00	Yes (X)		$0	$0	$0
Sister Mary Jaeger
Director	5.00	6.00	Yes (X)		$0	$0	$0
Sister Barbara McTague
Director	5.00	0.00	Yes (X)		$0	$0	$0
Sister Janet Horstman
Director	5.00	0.00	Yes (X)		$0	$0	$0
Sister JoAnn Sturzl
Director	5.00	0.00	Yes (X)		$0	$0	$0
Dr Merritt Gregg Warren
Director	5.00	0.00	Yes (X)		$0	$0	$0
Dan Eisenbraun
Director	5.00	0.00	Yes (X)		$0	$0	$0
Mark Shlanta
Director	5.00	0.00	Yes (X)		$0	$0	$0
Sister Debra Kolecka
Director	5.00	1.50	Yes (X)		$0	$0	$0
Cathy Clark
Director	5.00	0.00	Yes (X)		$0	$0	$0
Dr J Michael Bacharach
Director	5.00	0.00	Yes (X)		$0	$0	$0
Dr Dale Vizcarra
Director	5.00	0.00	Yes (X)		$0	$197,944	$38,408
John Porter
President & CEO	40.00	0.00	Yes (X)	Yes (X)	$1,400,745	$0	$35,211
James Breckenridge
Sec/Treas & SrVP Finance	40.00	0.00		Yes (X)	$739,254	$0	$22,427
Fredrick Slunecka
Chief Operating Officer	40.00	0.00			$1,057,903	$0	$23,883	Yes (X)
David Flicek
Chief Administrative Officer	40.00	1.00			$530,664	$0	$36,303	Yes (X)
David Erickson
Sr VP Medical Affair	40.00	0.00			$680,839	$0	$33,803		Yes (X)
Todd Forkel
Pres/CEO-St. Luke's	1.00	40.00			$493,403	$0	$29,779		Yes (X)
Paul Ebmeier
Pres/CEO-St. Mary's	1.00	40.00			$408,359	$0	$29,450		Yes (X)
David Kapaska
Pres/CEO-McKennan	1.00	40.00			$820,410	$0	$19,236		Yes (X)
Thomas Clark
Pres/CEO-Queen of Peace	1.00	40.00			$419,051	$0	$33,042		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,550,628	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$197,944	TotReportableCompRltdOrgAmt
Total Other Compensation	$301,542	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	95	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CDW Government
230 N Milwaukee Ave	Vernon Hills	IL	60061	Computer Hardware Consulting	$16,765,854
Avera McKennan
1325 S Cliff Avenue	Sioux Falls	SD	57117	Services	$11,302,338
Medical Information Technology
1 Meditech Circle	Westwood	MA	02090	Hardware/Software Consulting	$4,242,821
Elekta
400 Perimeter Center Terrace Suite	Atlanta	GA	30346	Computer Hardware/Software/Consulting/Ca	$3,877,000
Medspeed
655 West Grand Avenue	Elmhurst	IL	60126	Courier Services	$2,316,104

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	106	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$893,652	FederatedCampaignsAmt
Fundraising	$739,684	FundraisingAmt
Government Grants	$1,264,464	GovernmentGrantsAmt
All Other Contributions	$9,677,241	AllOtherContributionsAmt
Noncash Contributions	$170,043	NoncashContributionsAmt
Total Contributions	$12,575,041	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Support services	561000	$124,451,205	$123,863,787	$587,418
eCare revenue	900099	$18,615,286	$18,615,286
Premier expense credit	900099	$6,442,075	$6,442,075
Income from affiliates	561000	$1,309,950	$1,240,728	$69,222
Education & conference	900099	$38,539	$38,539

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,565	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,565	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$150,926,620	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$626,811	TotalRevenueColumnAmt
Exclusion	$626,811	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,812,522	SecuritiesAmt
Other	$17,385	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,812,522	SecuritiesAmt
Other	$17,385	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,829,907	TotalRevenueColumnAmt
Exclusion	$4,829,907	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$578,521	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$739,684	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$152,666	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$425,855	TotalRevenueColumnAmt
Exclusion	$425,855	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$169,384,234	TotalRevenueColumnAmt
Related Or Exempt Func Income	$150,269,980	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$656,640	UnrelatedBusinessRevenueAmt
Exclusion	$5,882,573	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,520,703	TotalAmt
Program Services	$4,520,703	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$595,961	TotalAmt
Program Services	$595,961	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,604,021	TotalAmt
Management And General	$3,604,021	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$132,946	TotalAmt
Management And General	$132,946	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,097,048	TotalAmt
Program Services	$55,546,043	ProgramServicesAmt
Management And General	$6,551,005	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,259,225	TotalAmt
Program Services	$1,114,022	ProgramServicesAmt
Management And General	$145,203	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,207,430	TotalAmt
Program Services	$9,034,961	ProgramServicesAmt
Management And General	$2,172,469	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,027,767	TotalAmt
Program Services	$4,249,272	ProgramServicesAmt
Management And General	$778,495	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,348	TotalAmt
Management And General	$12,348	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,109,150	TotalAmt
Management And General	$1,109,150	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$45,487	TotalAmt
Management And General	$45,487	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,179,012	TotalAmt
Program Services	$31,072,850	ProgramServicesAmt
Management And General	$3,106,162	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,770,307	TotalAmt
Program Services	$6,769,542	ProgramServicesAmt
Management And General	$765	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,114,894	TotalAmt
Program Services	$3,708,917	ProgramServicesAmt
Management And General	$405,977	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$956,656	TotalAmt
Program Services	$952,639	ProgramServicesAmt
Management And General	$4,017	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,806,430	TotalAmt
Program Services	$1,477,018	ProgramServicesAmt
Management And General	$329,412	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,353,811	TotalAmt
Program Services	$1,181,702	ProgramServicesAmt
Management And General	$172,109	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,291,688	TotalAmt
Program Services	$1,196,527	ProgramServicesAmt
Management And General	$95,161	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$619,404	TotalAmt
Program Services	$619,404	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,922,167	TotalAmt
Program Services	$5,142,387	ProgramServicesAmt
Management And General	$779,780	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$213,088	TotalAmt
Program Services	$92,285	ProgramServicesAmt
Management And General	$120,803	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Grant Program Expenditu	$968,283	$968,283
License & publications	$701,915	$701,915
Project expenses	$299,113	$299,113
UBI tax	$35,377	$35,377

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,256,274	TotalAmt
Program Services	$827,481	ProgramServicesAmt
Management And General	$428,793	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$150,100,505	TotalAmt
Program Services	$130,106,402	ProgramServicesAmt
Management And General	$19,994,103	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,968,518	BOYAmt
EOY	$4,033,284	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$385,850	BOYAmt
EOY	$1,317,264	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,602,716	BOYAmt
EOY	$8,502,751	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$13,299,979	BOYAmt
EOY	$13,323,816	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$85,574	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,359,137	BOYAmt
EOY	$4,109,762	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$116,076,260	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$33,053,201	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$68,894,617	BOYAmt
EOY	$83,023,059	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$736,782,319	BOYAmt
EOY	$733,392,516	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$116,166,617	BOYAmt
EOY	$135,015,726	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$72,494	BOYAmt
EOY	$62,734	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$396,785,395	BOYAmt
EOY	$389,975,470	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,372,317,642	BOYAmt
EOY	$1,372,841,956	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,828,911	BOYAmt
EOY	$18,690,463	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$18,999,349	BOYAmt
EOY	$7,102,234	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$323,567,541	BOYAmt
EOY	$317,672,205	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$639,694,294	BOYAmt
EOY	$649,273,878	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,127,161	BOYAmt
EOY	$58,604,504	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,106,023	BOYAmt
EOY	$60,272,381	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,121,323,279	BOYAmt
EOY	$1,111,615,665	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$249,236,026	BOYAmt
EOY	$259,014,929	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,261,151	BOYAmt
EOY	$1,695,338	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$497,186	BOYAmt
EOY	$516,024	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$250,994,363	BOYAmt
EOY	$261,226,291	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,372,317,642	BOYAmt
EOY	$1,372,841,956	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,283,729	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,574,924	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,476,877	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,930,641	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,237,289	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,049,256	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,015,201	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,575,041	CurrentTaxYearAmt
Total	$50,807,428	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$56,880,853	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$75,219,976	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,494,783	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$125,942,998	CurrentTaxYearMinus1YearAmt
Current Tax Year	$150,269,980	CurrentTaxYearAmt
Total	$500,808,590	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year	$578,521	CurrentTaxYearAmt
Total	$578,521	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$70,811,494	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$83,457,265	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$100,544,039	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$133,958,199	CurrentTaxYearMinus1YearAmt
Current Tax Year	$163,423,542	CurrentTaxYearAmt
Total	$552,194,539	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year	$5,755	CurrentTaxYearAmt
Total	$5,755	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,116,948	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$37,279,233	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,428,377	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,619,274	CurrentTaxYearMinus1YearAmt
Current Tax Year	$93,124,170	CurrentTaxYearAmt
Total	$265,568,002	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,116,948	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$37,279,233	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,428,377	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,619,274	CurrentTaxYearMinus1YearAmt
Current Tax Year	$93,129,925	CurrentTaxYearAmt
Total	$265,573,757	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$286,620,782	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,831,569	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,214,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$980,380	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$761,213	CurrentTaxYearMinus1YearAmt
Current Tax Year	$626,811	CurrentTaxYearAmt
Total	$5,414,353	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,831,569	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,214,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$980,380	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$761,213	CurrentTaxYearMinus1YearAmt
Current Tax Year	$626,811	CurrentTaxYearAmt
Total	$5,414,353	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$435,237	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$550,548	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$328,468	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$105,051	CurrentTaxYearMinus1YearAmt
Current Tax Year	$129,714	CurrentTaxYearAmt
Total	$1,549,018	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$73,078,300	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$85,222,193	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$101,852,887	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$134,824,463	CurrentTaxYearMinus1YearAmt
Current Tax Year	$164,180,067	CurrentTaxYearAmt
Total	$559,157,910	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.51260	PublicSupportCY509Pct
Public Support PY509	0.54980	PublicSupportPY509Pct
Investment Income CY	0.00970	InvestmentIncomeCYPct
Investment Income PY	0.01950	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$31,240	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$14,247	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,280	OtherActivitiesAmt
Total Lobbying Expenditures	$68,767	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Paid Staff Deb Fischer Clemens $22,498 Danielle Hamann 782 Grants to other organizations for lobbying: The Lehmann Group $10,000 Dougherty & Dougherty, LLP 21,240 Direct Contact with Legislatures: Avera Day at the SD Legislature $14,247	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,542,771	BeginningYearBalanceAmt
Contributions	$367,555	ContributionsAmt
Investment Earnings Or Losses	$782,973	InvestmentEarningsOrLossesAmt
Other Expenditures	$296,350	OtherExpendituresAmt
Administrative Expenses	$35,755	AdministrativeExpensesAmt
End Year Balance	$4,361,194	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,302,432	BeginningYearBalanceAmt
Contributions	$477,896	ContributionsAmt
Investment Earnings Or Losses	$155,637	InvestmentEarningsOrLossesAmt
Other Expenditures	$370,880	OtherExpendituresAmt
Administrative Expenses	$22,314	AdministrativeExpensesAmt
End Year Balance	$3,542,771	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,046,321	BeginningYearBalanceAmt
Contributions	$328,355	ContributionsAmt
Investment Earnings Or Losses	$656,901	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,729,145	OtherExpendituresAmt
End Year Balance	$3,302,432	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,228,130	BeginningYearBalanceAmt
Contributions	$328,691	ContributionsAmt
Investment Earnings Or Losses	-$4,335,972	InvestmentEarningsOrLossesAmt
Administrative Expenses	$174,528	AdministrativeExpensesAmt
End Year Balance	$6,046,321	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$8,535,863	ContributionsAmt
Investment Earnings Or Losses	$2,080,865	InvestmentEarningsOrLossesAmt
Other Expenditures	$388,598	OtherExpendituresAmt
End Year Balance	$10,228,130	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.52800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.30990	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16210	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$13,544,035	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$948,600	OtherCostOrOtherBasisAmt
Book Value	$14,492,635	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,744,865	OtherCostOrOtherBasisAmt
Depreciation	$5,297,296	DepreciationAmt
Book Value	$24,447,569	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,046,436	OtherCostOrOtherBasisAmt
Depreciation	$1,416,705	DepreciationAmt
Book Value	$1,629,731	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,159,963	OtherCostOrOtherBasisAmt
Depreciation	$26,339,200	DepreciationAmt
Book Value	$29,820,763	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,632,361	OtherCostOrOtherBasisAmt
Book Value	$12,632,361	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,023,059	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Non-publicly traded hedge funds	$108,236,862	F
Non-publicly traded real estate	$17,584,752	F
NPPC, LLC	$100,000	C
Premier Purchasing Partners, L.P.	$1,372,082	C
Premier Stock	$7,722,030	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$135,015,726	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Cash surrender value of life insurance	$1,639,185
Related party receivables	$358,428,950
Deferred financing costs	$3,023,376
Bond project fund	$25,883,959
Interest in South Dakota Community Foundation	$1,000,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$389,975,470	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Estimated insurance claims payable	$36,427,005
Due to affiliates	$20,826,673
Bond interest payable	$3,018,703

Field	Value	IRS element (for citing)
Total Liability	$60,272,381	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$138,072,492	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$6,558,362	NetUnrealizedGainsInvstAmt
Other Revenue	-$6,660,109	OtherRevenueAmt
Revenue Not Reported	-$13,218,471	RevenueNotReportedAmt
Revenue Subtotal	$151,290,963	RevenueSubtotalAmt
Other Revenues Not Included	$18,093,271	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$18,093,271	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$169,384,234	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$142,125,458	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$6,793,040	OtherExpensesIncludedAmt
Expenses Not Reported	-$6,793,040	ExpensesNotReportedAmt
Expenses Subtotal	$148,918,498	ExpensesSubtotalAmt
Other Expenses Not Included	$1,182,008	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,182,008	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$150,100,506	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	Avera Health administers the Avera Health Pooled Investment Fund, a fund that is maintained for the benefit of facilities that are sponsored, operated, or managed by Avera Health. Investments are made in conformity with the objectives and guidelines of the Avera Health Pooled Investment Committee. Within the fund, participating facilities share in a pool of investments that are managed by various fund managers. Investments that are held for participating facilities are recorded as Avera Health Pooled Investments with a corresponding liability account of Custodial Funds - Avera Health Pooled Investments on the balance sheet. Avera Health also holds its own investments within the pooled fund and records their allocated share of income and losses from these investments as investment income in the financial statements.
Part V, Line 4:	The Organization's endowment consists of approximately 59 individual funds established for a variety of purposes related to health and wellness programs in Avera affiliated organizations.
Part X, Line 2:	Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The federal Form 990T filings for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2012. Certain consolidated entities are subject to federal income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. Deferred tax assets and liabilities are not material as of June 30, 2015 and 2014. The Organization paid an immaterial amount of federal and state income taxes for the years ended June 30, 2015 and 2014.
Part XI, Line 2d - Other Adjustments:	Insurance program admin income not recognized for tax reporting -5,239,587. Foundation expenses reported in revenue on financial statements -63,865. Non-operating depreciation reported in revenue for financial statements -910,536. Elimination income included in revenue for financial statements -503,631. Equity transfers reported in revenue on financial statements 57,510.
Part XI, Line 4b - Other Adjustments:	Contributions reported in fund balance on financial statements 583,396. Fundraising events expenses reported in revenue on Form 990 -152,666. Investment income reported in fund balance on financial statement 11,830. Premier Program revenue included in expenses for financial statements 6,442,075. Contributions received by Foundation - not reflected in financial statements 11,208,636.
Part XII, Line 2d - Other Adjustments:	Fundraising event expenses reported in revenue on Form 990 152,666. Elimination expenses recorded on financial statements -503,631. Premier Program revenue included in expenses for financial statements -6,442,075.
Part XII, Line 4b - Other Adjustments:	Foundation expenses reported in revenue on financial statements 63,865. Non-operating depreciation reported in expenses for Form 990 910,536. Foundation expenses reported in fund balance for financial statements 207,607.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean -	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments reported on cost basis	TypeOfActivitiesConductedTxt
Region Total Expenditures	$80,983,068	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$80,983,068	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$80,983,068	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Race Against Breast Cancer	Event1Nm
Gross Receipts Event1	$539,546	GrossReceiptsEvent1Amt
Charitable Contri Event1	$313,683	CharitableContriEvent1Amt
Gross Revenue Event1	$225,863	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$22,158	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$4,751	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$9,146	OtherDirectExpensesEvent1Amt
Event2	The Big Grape Reserve	Event2Nm
Gross Receipts Event2	$185,664	GrossReceiptsEvent2Amt
Charitable Contri Event2	$144,249	CharitableContriEvent2Amt
Gross Revenue Event2	$41,415	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$29,663	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$8,188	FoodAndBeverageEvent2Amt
Other Events Total	18	OtherEventsTotalCnt
Gross Receipts Other Events	$592,995	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$281,752	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$311,243	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$48,043	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$17,327	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$13,390	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,318,205	GrossReceiptsTotalAmt
Charitable Contributions Tot	$739,684	CharitableContributionsTotAmt
Gross Revenue Total Events	$578,521	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$99,864	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$30,266	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$22,536	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$152,666	DirectExpenseSummaryEventsAmt
Net Income Summary	$425,855	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (76 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Canton School District
800 N Main St	Canton	SD	57013	466002143	City of Canton	$11,000	Community assistance
Capital Area United Way
PO Box 1111	Pierre	SD	57501	460403398	501(c)(3)	$6,500	Community assistance
Catholic Community Foundation
523 N Duluth Ave	Sioux Falls	SD	57104	466000424	501(c)(3)	$17,390	Community assistance
Catholic Diocese of Sioux Falls
523 N Duluth Ave	Sioux Falls	SD	57104	466000424	501(c)(3)	$35,000	Community assistance
Charis Ministry Partners
1300 E 10th St	Sioux Falls	SD	57103	383775128	501(c)(3)	$7,000	Community assistance
Children's Home Society of SD
PO Box 1749	Sioux Falls	SD	57101	460224542	501(c)(3)	$6,000	Community assistance
Coalition to Protect America's Healthcare
PO Box 30211	Bethesda	MD	20824	522253225	501(c)(3)	$30,000	Community assistance
Community Indoor Tennis Center
200 N Cherapa Pl	Sioux Falls	SD	57103	311748533	501(c)(3)	$10,000	Community assistance
CTE Academy
4700 W Career Circle	Sioux Falls	SD	57107	466002586	501(c)(3)	$10,000	Community assistance
Dakota Wesleyan University
1200 W University Ave	Mitchell	SD	57301	460224589	501(c)(3)	$25,000	Community assistance
DakotAbilities
3600 S Duluth Ave	Sioux Falls	SD	57105	460306216	501(c)(3)	$31,000	Community assistance
Destiny Family Medical Clinic
1417 S Minnesota Ave	Sioux Falls	SD	57105	510529480	501(c)(3)	$15,000	Community assistance
Downtown Sioux Falls
230 S Phillips Ave	Sioux Falls	SD	57104	363627217	other exempt entity	$13,000	Community assistance
EmBe
300 W 11th St	Sioux Falls	SD	57104	460234998	501(c)(3)	$30,350	Community assistance
Empire Mall
500 W Empire Mall	Sioux Falls	SD	57106	204583527		$6,695	Community assistance
Face it TOGETHER
5020 S Tennis Ln Suite 4	Sioux Falls	SD	57108	943472044	501(c)(3)	$40,000	Community assistance
Feeding South Dakota
3511 N 1st Ave	Sioux Falls	SD	57104	363293534	501(c)(3)	$35,500	Community assistance
Forward Sioux Falls
PO Box 907	Sioux Falls	SD	57101	460396647	other exempt entity	$15,000	Community assistance
Furniture Mission
209 N Nesmith Ave	Sioux Falls	SD	57103	810584450	501(c)(3)	$6,000	Community assistance
Global Voice Inc
1000 N West Ave	Sioux Falls	SD	57104	460585355		$8,000	Community assistance
Governor's Office of Economic Development
711 E Wells Ave	Pierre	SD	57501	466000364	State of SD	$16,000	Community assistance
Great Plains Zoo
805 S Kiwanis Ave	Sioux Falls	SD	57104	466015015	501(c)(3)	$10,000	Community assistance
Habitat for Humanity - South Dakota
PO Box 8116	Brookings	SD	57006	460454907	501(c)(3)	$20,000	Community assistance
Harrisburg Days Foundation
PO Box 343	Harrisburg	SD	57032	841709233	501(c)(3)	$16,666	Community assistance
Hill City Area Chamber of Commerce
PO Box 253	Hill City	SD	57745	460386435	other exempt entity	$7,500	Community assistance
Jackrabbit Sports Properties
PO Box 843038	Kansas City	MO	64184	900776492		$100,000	Community assistance
Junior Achievement
1000 N West Ave Suite 110	Sioux Falls	SD	57104	460306352	501(c)(3)	$8,000	Community assistance
KELO TV Tradition of Caring
PO Box 743299	Atlanta	GA	30384	133884783		$70,000	Community assistance
Kilian Community College
300 E 6th St	Sioux Falls	SD	57103	460385443	501(c)(3)	$6,000	Community assistance
LifeLight
2601 S Western Ave	Sioux Falls	SD	57105	460460742	501(c)(3)	$33,000	Community assistance
LifeScape Foundation
2011 W 26th St Suite 201	Sioux Falls	SD	57105	460353254	501(c)(3)	$16,700	Community assistance
Make-A-Wish Foundation
1400 W 17th St	Sioux Falls	SD	57104	460375953	501(c)(3)	$10,500	Community assistance
McCrossan Boys Ranch
47135 260th St	Sioux Falls	SD	57107	460311913	501(c)(3)	$11,000	Community assistance
Mitchell Area Cooperative
PO Box 1087	Mitchell	SD	57301	460394983		$5,500	Community assistance
Mount Marty College
1105 W 8th St	Yankton	SD	57078	460283336	501(c)(3)	$102,978	Community assistance
NAMI South Dakota
PO Box 88808	Sioux Falls	SD	57109	363593027	501(c)(3)	$20,000	Community assistance
National Kidney Foundation
1970 Oakcrest Ave Suite 208	Saint Paul	MN	55122	131673104	501(c)(3)	$15,500	Community assistance
National Multiple Sclerosis
200 12TH Ave S	Minneapolis	MN	55415	410790658	501(c)(3)	$26,000	Community assistance
NSU Foundation
620 15th Ave SE	Aberdeen	SD	57401	237002314	501(c)(3)	$54,500	Community assistance
OLLI at University Center
4801 N Career Ave	Sioux Falls	SD	57107	466000364	501(c)(3)	$7,500	Community assistance
Pierre School District
211 Poplar St	Pierre	SD	57501	466001892	City of Pierre	$7,715	Community assistance
Presentation Sisters
1500 N Second St	Aberdeen	SD	57401	460253283	501(c)(3)	$102,000	Community assistance
Pride in the Tiger Foundation
400 Tiger Dr	Marshall	SD	56258	416002001	501(c)(3)	$11,000	Community assistance
Sculpture Walk
300 S Phillips Ave Ste L 104	Sioux Falls	SD	57104	208535871	501(c)(3)	$31,974	Community assistance
SD Agricultrual & Rural Leadership Foundation
1905 N Plaza Blvd	Rapid City	SD	57702	364293293	501(c)(3)	$10,000	Community assistance
SD Parks & Wildlife Foundation
523 E Capitol	Pierre	SD	57501	460387968	501(c)(3)	$10,000	Community assistance
SD Symphony Orchestra
301 S Main Ave	Sioux Falls	SD	57104	466017026	501(c)(3)	$40,300	Community assistance
SD High School Coaches Association
801 W Eagle Ridge St	Sioux Falls	SD	57108	237297479	501(c)(3)	$6,500	Community assistance
SDSU
100 Administration Lane	Brookings	SD	57006	460273801	State of SD	$10,300	Community assistance
Sertoma Butterfly House
4320 S Oxbow Ave	Sioux Falls	SD	57106	522370420	501(c)(3)	$7,000	Community assistance
Sioux Center Health Foundation
1101 9th St SE	Sioux Center	IA	51250	420796764	501(c)(3)	$10,500	Community assistance
Sioux Empire Baseball Assn
1601 W 44th Pl Ste 3	Sioux Falls	SD	57105	411903475	501(c)(3)	$30,826	Community assistance
Sioux Empire Fastpitch
PO Box 88206	Sioux Falls	SD	57109	237223489	501(c)(3)	$12,500	Community assistance
Sioux Empire Realtors for Kids
2415 W 57th St	Sioux Falls	SD	57108	262681308	501(c)(3)	$7,000	Community assistance
Sioux Empire United Way
1000 N West Ave Suite 120	Sioux Falls	SD	57104	460233701	501(c)(3)	$73,000	Community assistance
Sioux Falls Catholic Schools
3100 W 41st	Sioux Falls	SD	57105	460413591	501(c)(3)	$800,000	Community assistance
Sioux Falls Firefighters
PO Box 340	Sioux Falls	SD	57101	680589701	501(c)(3)	$10,000	Community assistance
SD Chamber
PO Box 190	Pierre	SD	57501	460141180	other exempt entity	$5,500	Community assistance
SD Youth Foundation
BOX 525 SDSU	Brookings	SD	57007	474832848	501(c)(3)	$10,000	Community assistance
Special Olympics of South Dakota
800 East I-90 Lane	Sioux Falls	SD	57104	460359776	501(c)(3)	$75,000	Community assistance
United Way of Yankton
610 W 23rd St Ste 11	Yankton	SD	57078	460252854	501(c)(3)	$12,000	Community assistance
USD Sanford Medical School
414 E Clark St Lee Medical	Vermillion	SD	57069	466000364	other exempt entity	$20,500	Community assistance
Volunteers of America Dakotas
PO Box 89306	Sioux Falls	SD	57109	237353508	501(c)(3)	$10,000	Community assistance
Washington High School
501 N Sycamore Ave	Sioux Falls	SD	57110	466002586	City of Sioux Falls	$22,000	Community assistance
Washington Pavilion Mgmt
301 S Main Ave	Sioux Falls	SD	57104	460435791	501(c)(3)	$55,000	Community assistance
World Archery
800 Archery Ln	Yankton	SD	57078	330430066	501(c)(3)	$10,000	Community assistance
Yankton Area Progressive Growth
803 E 4th St	Yankton	SD	57078	460348636	other exempt entity	$60,000	Community assistance
Aberdeen Catholic School
1400 N Dakota St	Aberdeen	SD	57401	460336005	501(c)(3)	$75,000	Revitalizing RHS
Aberdeen Development Corporation
416 Production St N	Aberdeen	SD	57401	466011831	other exempt entity	$7,500	Workforce development
American Cancer Society
4904 S Technopolis Dr	Sioux Falls	SD	57106	131788491	501(c)(3)	$13,600	Sponsorship
American Heart Association
PO Box 4002902	Des Moines	IA	50340	135613797	501(c)(3)	$43,600	Sponsorship
Arthritis Foundation
PO Box 90445	Sioux Falls	SD	57109	581341679	501(c)(3)	$9,167	Contribution
Boys & Girls Club of the Sioux Empire
824 E 14th St	Sioux Falls	SD	57104	460399482	501(c)(3)	$12,365	Sponsorship
South Dakota State University Foundation
815 Medary Avenue Box 525	Brookings	SD	57007	460273801	501(c)(3)	$1,746,000	Contribution for pharmacy
Dakota Resources
25795 475th Ave	Renner	SD	57055	460442430	501(c)(3)		Assistance with debt	$25,000	FMV	Wrote off portion of note payable
Catholic Chancery Office
523 N Duluth Ave	Sioux Falls	SD	57104	466000424	501(c)(3)	$185,000	Bishop charitable events

Field	Value	IRS element (for citing)
Total501c3 Org	64	Total501c3OrgCnt
Total Other Org	12	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Haiti scholarships	23	$25,200
Premium assistance to employees	660	$490,746
Out of pocket medical assistance	75	$80,015

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Organization makes grants to other organizations exempt under 501(c)(3) to ensure the funds will be used for charitable purposes. During the year ending June 30, 2015, the Organization made contributions to other non-public charities in furtherance of community development. The contributions are approved by the Board for this purpose. Scholarship funds have different sets of criteria for determining eligibility and winners. Assistance to individuals is determined with assistance from each hospital's social services department or within a committee at the hospital.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Dale Vizcarra
Director	$0	$196,217	$0	$0	$0	$1,727	$0	$16,340	$0	$22,828	$0	$237,112	$0	$0
John Porter
President & CEO	$1,089,060	$0	$0	$0	$311,685	$0	$13,475	$0	$24,386	$0	$1,438,606	$0	$0	$0
James Breckenridge
Sec/Treas & SrVP Finance	$577,012	$0	$0	$0	$162,242	$0	$13,475	$0	$10,341	$0	$763,070	$0	$0	$0
Fredrick Slunecka
Chief Operating Officer	$827,276	$0	$0	$0	$230,627	$0	$13,475	$0	$12,419	$0	$1,083,797	$0	$0	$0
David Flicek
Chief Administrative Officer	$419,122	$0	$0	$0	$111,542	$0	$13,475	$0	$23,865	$0	$568,004	$0	$0	$0
David Erickson
Sr VP Medical Affair	$534,339	$0	$0	$0	$146,500	$0	$13,475	$0	$21,588	$0	$715,902	$0	$0	$0
Todd Forkel
Pres/CEO-St. Luke's	$399,161	$0	$0	$0	$94,242	$0	$9,451	$0	$20,328	$0	$523,182	$0	$0	$0
Paul Ebmeier
Pres/CEO-St. Mary's	$307,369	$0	$0	$0	$100,990	$0	$8,372	$0	$21,840	$0	$438,571	$0	$0	$0
David Kapaska
Pres/CEO-McKennan	$636,137	$0	$0	$0	$184,273	$0	$0	$0	$20,792	$0	$841,202	$0	$0	$0
Thomas Clark
Pres/CEO-Queen of Peace	$333,797	$0	$0	$0	$85,254	$0	$11,306	$0	$22,443	$0	$452,800	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a	FormAndLineReferenceDesc
Explanation	All Senior Executives are eligible for $2,500 per year to pay for social club dues. If an employee chooses to take advantage of this benefit, the amount is included in their taxable income. Those paid: John Porter.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
South Dakota Health and Educational Facilities Authority
A	460315509	83755VUS1	2012-05-01	$206,383,927	2012A funded a project and refunded Series 2008A and Series 2002	0	0	0
South Dakota Health and Educational Facilities Authority
B	460315509	83755VNH3	2008-07-01	$61,495,000	2008C refunded 2006 Series	0	0	0
South Dakota Health and Educational Facilities Authority
C	460315509	83755VNB6	2008-06-18	$189,222,932	2012B refunded Series 1994, 2000, and bridge loan	0	0	0
South Dakota Health and Educational Facilities Authority
D	460315509	83755VVY7	2014-06-26	$61,821,688	Various capital projects	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$138,438,927	$206,383,927	$1,032,422	$38,100,000	$167,251,505	2014	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$420,000	$61,495,000	$388,831		$61,075,000	2010	Yes (1)	0	Yes (1)	Yes (1)	$31,169
C	$65,597,932	$189,222,932	$1,272,562	$91,009,361	$96,658,796	2010	Yes (1)	0	Yes (1)	Yes (1)	$282,213
D		$61,821,688	$821,688	$61,000,000			0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0	Yes (1)
B	0	Yes (1)	0	Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)
D	0	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)
Bank of
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	America/Merrill	25.000000000000	0	Yes (1)
Bank of
C	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	America/Merrill	24.100000000000	0	0
(no name)
D	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2C:	The arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2015 for Bonds B and C.
Schedule K, Part I:	The 2008C series was used to refund bond issued 6/22/2006.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Linda Breckenridge	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Spouse of Sec/Treas & SrVP Finance	RelationshipDescriptionTxt
Transaction	$132,946	TransactionAmt
Transaction	Employee compensation and benefits	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$170,043	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Avg of high/low	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)	Drawing	1	$0
Yes (X)	Golf at Sutton Bay	1	$0

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 33:	FormAndLineReferenceDesc
Explanation	The only amounts included in revenue for the financial statement reporting are non-cash contributions of stock securities. Non-cash contributions not included for financial statements include items for the benefit of the Avera facilities which include special event donations.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The organization has two classes of members: Sponsorship Members and System Members. Sponsorship Members shall consist collectively of (i) those persons serving from time to time as the President and Council of the Presentation Sisters of the Blessed Virgin Mary of Aberdeen, South Dakota and (ii) those persons serving from time to time as the Prioress and Council of the Benedictine Convent of the Sacred Heart (Yankton, S.D.). System Members shall consist of six Sisters- three Presentation Sisters appointed by the Presentation Sponsorship Members and three Benedictine Sisters appointed by the Benedictine Sponsorship Members.
Form 990, Part VI, Section A, line 7a	The System Members have the power to appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause. They also have the power to appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health.
Form 990, Part VI, Section A, line 7b	The following powers shall be reserved to and exercised exclusively by the Sponsorship Members and none of the following actions shall be taken by Avera Health without action of the Sponsorship Members: (a) To approve the adoption, amendment or repeal of the statements of philosophy, mission, Guiding Principles and values of Avera Health; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Avera Health, and to give final approval of any such action with respect thereto; (c) To establish policies regarding the alienation of real property and precious artifacts associated with the healthcare ministry which are under the canonical stewardship of the Presentation Sisters or the Benedictine Sisters; (d) To approve any plan of merger, consolidation or dissolution of Avera Health, or the divestiture of any sponsored work or ministry associated with Avera Health; (e) To change the composition of the Sponsorship Members, including the addition of other individuals, parties or entities to be Sponsorship Members; and (f) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of Avera Health. The following powers shall be reserved to and exercised exclusively by the System Members and none of the following actions shall be taken by Avera Health without action of the System Members: (a) To appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause; (b) To appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health; (c) To appoint the Chair and Vice Chair of the Board of Directors; (d) To appoint, evaluate, suspend or remove the President and Chief Executive Officer; (e) To review and approve the operating and capital budgets, including expenditures outside of budget, and the strategic plan, of Avera Health; (f) To adopt procedures for assuring that corporate actions are consistent with the philosophy, mission, Guiding Principles and values of Avera Health; (g) To provide recommendations to the Sponsorship Members on matters requiring Sponsorship Members' approval or action; (h) To adopt policies designed to effectuate the powers reserved to the System Members; and (i) To exercise oversight of the Guiding Principles and such authorities which may be assigned or delegated by the Sponsorship Members.
Form 990, Part VI, Section A, line 8b	Avera Health does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11	The Form 990 is reviewed by the CEO and CFO. After initial reviews, the return is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12c	The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board.
Form 990, Part VI, Section B, line 15	Annually the Compensation Committee of Avera Health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value for compensation of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes.
Form 990, Part VI, Section C, line 19	The Organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public.
Form 990, Part IX, line 11g	Purchased & contracted services: Program service expenses 30,216,113. Management and general expenses 2,910,014. Fundraising expenses 0. Total expenses 33,126,127. Repairs and maintenance: Program service expenses 846,781. Management and general expenses 0. Fundraising expenses 0. Total expenses 846,781. Professional fees: Program service expenses 9,956. Management and general expenses 196,148. Fundraising expenses 0. Total expenses 206,104.
Form 990, Part XI, line 9:	Net equity transfers 13,952,508. Insurance program admin income not recognized for tax reporting -5,239,587. Change in interest in net assets of foundations and trusts 18,838. Contributions received by Foundation - not reflected in financial statement -11,208,636.
Form 990, Part VI Question 16b:	There is no written policy or procedure. In the event of any such proposed transaction, the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member.
Form 990, Part X, Line 20:	Avera Health is only disclosing a portion of the tax exempt bonds on Part X, Line 20. The bonds were issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, and Avera Sacred Heart. In accordance with IRS Instructions, information related to the entire tax exempt bond reporting is being reported on Avera Health's tax return on Schedule K.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Avera Communication LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 West Avera Drive Suite 300	AddressLine1Txt
City	Sioux Falls	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	571085434	ZIPCd

Field	Value	IRS element (for citing)
EIN	460453770	EIN
Primary Activities	Telecommunications	PrimaryActivitiesTxt
Legal Domicile State	SD	LegalDomicileStateCd
Total Income	$1,307,675	TotalIncomeAmt
End Of Year Assets	$519,042	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Avera Health	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Avera St Anthony's Hospital
300 N 2nd Street	ONeill	NE	68763	470463911	Healthcare services	NE	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Holy Family
826 North 8th Street	Estherville	IA	51334	420680370	Healthcare services	IA	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Holy Family Foundation
826 North 8th Street	Estherville	IA	51334	421317452	Support of Holy Family Hospital and Home Health Agency	IA	501(c)(3)	Line 9	Avera Holy Family	Yes (1)
St Benedict Health Center
401 West Glynn Drive	Parkston	SD	57366	460226738	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
St Benedict Health Center Foundation
West Glynn Drive PO Box B	Parkston	SD	57366	460458725	Support health related services	SD	501(c)(3)	Line 11a, I	St Benedict Health Center	Yes (1)
Avera McKennan
1325 S Cliff Ave PO Box 5045	Sioux Falls	SD	57117	460224743	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Queen of Peace Hospital
525 North Foster	Mitchell	SD	57301	460224604	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
Sacred Heart Health Services
501 Summit Street	Yankton	SD	57078	460225483	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Gettysburg
606 East Garfield	Gettysburg	SD	57442	460234354	Healthcare services	SD	501(c)(3)	Line 3	Avera St Mary's	Yes (1)
Avera at Home
5116 S Solberg Ave	Sioux Falls	SD	57108	460399291	Home services	SD	501(c)(3)	Line 9	Avera Health	Yes (1)
Lewis and Clark Health Education and Service Agency
1000 W 4th Street Suite 9	Yankton	SD	57078	460337013	Healthcare education	SD	501(c)(3)	Line 9	Sacred Heart Health Services	Yes (1)
Avera St Luke's
305 South State Street	Aberdeen	SD	57401	460224598	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera St Mary's
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare services	SD	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Marshall
300 S Bruce Street	Marshall	MN	56258	410919153	Healthcare services	MN	501(c)(3)	Line 3	Avera Health	Yes (1)
Avera Marshall Foundation
300 S Bruce Street	Marshall	MN	56258	411784801	Fundraising	MN	501(c)(3)	Line 7	Avera Marshall	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Avera Home Medical Equipment LLC
1325 S Cliff Ave PO Box 5045	Sioux Falls	SD	57117	460488198	Medical services - home medical equipment	SD	N/A
Home Medical of Pierre LLC
329 E Dakota	Pierre	SD	57501	460444002	Medical services - home medical equipment	SD	N/A
Avera Home Medical Equipment of Floyd Valley Hospital LLC
714 Lincoln St NE	Lemars	IA	51031	820582350	Medical services - home medical equipment	SD	N/A
Avera Home Medical Equipment of Estherville LLC
PO Box 5045	Sioux Falls	SD	57117	201686097	Medical services - home medical equipment	SD	N/A
Avera Home Medical Equipment of Sioux Center LLC
38 19th St SW	Sioux Center	IA	51250	753203100	Medical services - home medical equipment	SD	N/A
Avera Home Medical Equipment of Marshall LLC
1104 East College Drive	Marshall	MN	56258	205271924	Medical services - home medical equipment	SD	N/A
Q&M Properties LLC
525 North Foster	Mitchell	SD	57301	731652049	Medical clinic building	SD	N/A
Surgical Associates Endoscopy Clinic LLC
310 S Penn	Aberdeen	SD	57401	460461429	Surgical associates	SD	N/A
Avera Home Medical Equipment of Spencer Hospital LLC
2400 S Minnesota Ave	Sioux Falls	SD	57117	800619999	Medical Services - home medical equipment	SD	N/A
Heart Hospital of South Dakota LLC
4500 W 69th Street	Sioux Falls	SD	57108	562143771	Healthcare Services	SD	N/A
Brookings Health System - Avera HME LLC
101 22nd Ave Suite 101	Brookings	SD	57006	453204123	Healthcare Services	SD	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Accounts Management Inc
5132 S Cliff Ave Suite 101	Sioux Falls	SD	57108	460373021	Collection agency	SD	Avera Health	C	$2,269,926	$1,441,557	0.75000	Yes (1)
Avera Health Plans Inc
3900 West Avera Drive Suite 101	Sioux Falls	SD	57108	460451539	Health financing and health plan admin	SD	Avera Health	C	$99,037,764	$32,763,090	1.00000	Yes (1)
Avera Property Insurance Inc
610 W 23rd St PO Box 38	Yankton	SD	57078	460463155	Insurance	SD	Avera Health	C	$523,377	$1,324,541	1.00000	Yes (1)
Valley Health Services
501 Summit Street	Yankton	SD	57078	460357149	Medical equipment	SD		C				Yes (1)	N/A
Alucent Medical Inc
1325 S Cliff Avenue PO Box 5045	Sioux Falls	SD	571175045	471818349	Biotech Research	SD		C				Yes (1)	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Avera at Home
D	$667,910	Change in note receivable
Accounts Management
L	$332,688	General ledger
Avera at Home
L	$1,401,552	General ledger
Avera Health Plans Inc
L	$169,290	General ledger
Avera Marshall
L	$4,463,124	General ledger
Avera McKennan
L	$61,242,444	General ledger
Avera Queen of Peace Hospital
L	$8,747,892	General ledger
Avera Sacred Heart Health Services
L	$10,848,384	General ledger
Avera St Luke's
L	$12,939,456	General ledger
Avera St Mary's
L	$5,637,708	General ledger
Avera at Home
P	$74,359	Vendor payment listing
Avera Marshall
P	$539,726	Vendor payment listing
Avera McKennan
P	$5,165,078	Vendor payment listing
Avera Queen of Peace Hospital
P	$1,471,697	Vendor payment listing
Avera Sacred Heart Health Services
P	$983,665	Vendor payment listing
Avera St Luke's
P	$1,992,701	Vendor payment listing
Avera St Mary's
P	$1,081,013	Vendor payment listing
Avera at Home
Q	$76,779	Customer invoice listing
Avera Health Plans Inc
Q	$58,958	Customer invoice listing
Avera Marshall
Q	$562,092	Customer invoice listing
Avera McKennan
Q	$5,834,816	Customer invoice listing
Avera Queen of Peace Hospital
Q	$1,517,558	Customer invoice listing
Avera Sacred Heart Health Services
Q	$1,034,625	Customer invoice listing
Avera St Luke's
Q	$2,037,054	Customer invoice listing
Avera St Mary's
Q	$1,101,919	Customer invoice listing